The home health care nurse is visiting a child with renal failure undergoing continuous ambulatory peritoneal dialysis (CAPD). Which of the following would lead the nurse to identify a nursing diagnosis of fluid overload related to CAPD?

poor skin turgor

shortness of breath

Redness at the tube insertion site

Fever

Answer and Explanation

The Correct Answer is B

A. Poor skin turgor typically indicates dehydration, not fluid overload.

B. Shortness of breath can be a sign of fluid overload, particularly in children with renal failure, as excess fluid can accumulate and lead to pulmonary edema.

C. Redness at the tube insertion site may indicate infection but does not specifically relate to fluid overload.

D. Fever is a sign of infection or inflammation and does not directly indicate fluid overload.

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Correct Answer is ["10"]

Explanation

To calculate the dosage of ondansetron for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 44 lbs, which is equivalent to 20 kg (44 lbs / 2.2 lbs per kg). The prescribed dose is 0.5 mg/kg, so you would multiply the child's weight in kilograms by the dose: 20 kg * 0.5 mg/kg = 10 mg. Since the safe dose is up to 5 mg/kg per dose and the child's weight is 20 kg, the maximum safe dose would be 100 mg (20 kg * 5 mg/kg). Therefore, the nurse should administer 10 mg, as it is within the safe dose range.

A. Administer at mealtimes B. Give with a 240 mL (8 oz) glass of milk. C. Administer at bed time D. Give with orange juice

Correct Answer is D

Explanation

A. Administering iron supplements at mealtimes can decrease absorption, making it less effective.

B. Giving ferrous sulfate with milk can inhibit the absorption of iron due to the calcium content.

C. Administering iron at bedtime is not recommended because it can cause gastrointestinal upset and may interfere with sleep.

D. Giving ferrous sulfate with orange juice enhances the absorption of iron due to the vitamin C content, which is beneficial for children with iron deficiency anemia.

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The home health care nurse is visiting a child with renal failure undergoing continuous ambulatory peritoneal dialysis (CAPD). Which of the following would lead the nurse to identify a nursing diagnosis of fluid overload related to CAPD?

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Correct Answer is ["10"]

Explanation

A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication?

Correct Answer is D

Explanation

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